Urinary incontinence in climacteric afrodescendant women from the Colombian Caribbean


  • Alvaro Monterrosa-Castro Department of Gynecology and Obstetrics, Women's Health Research Group, School of Medicine, University Cartagena, Colombia http://orcid.org/0000-0002-0686-6468
  • Katheryn Portela-Buelvas Department of Epidemiology, Women's Health Research Group, School of Medicine, University Cartagena, Colombia http://orcid.org/0000-0002-8012-0875
  • Camil Castelo-Branco Department of Gynecology, Clinic Institute of Gynecology, Obstetrics and Neonatology, Faculty of Medicine-University of Barcelona, Hospital Clinic-Institute for Biomedical Research, August Pi i Sunyer (IDIBAPS), Barcelona, Spain http://orcid.org/0000-0002-9860-8318




African continental ancestry group, Afro-descendants, Climacteric, Ethnic group, Menopause, Urinary incontinence


Background: To assess the prevalence of urinary incontinence (UI) and to identify related factors in Afro-descendant Colombian women.

Methods: A cross-sectional study was carried out involving 40-59 year old women from the Colombian Caribbean. Socio-demographic characteristics were recorded and the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) and the 10-item cervantes scale were applied to identify UI and genitourinary symptoms, respectively.

Results: A cross-sectional study was carried out involving 40-59-year-old women from the Colombian Caribbean. Socio-demographic characteristics were recorded and the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) and the 10-item cervantes scale were applied to identify UI and genitourinary symptoms, respectively.

Conclusions: The prevalence of UI among climacteric afro-descendant women was close to 4%. A history of PIH and PD consumption were related factors.


Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2018;21:1-6.

Haylen BT, Ridder D, Freeman RM. An international urogynecological association/ international continence society joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5-26.

Abrams P, Cardozo L, Fall M. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49.

Waetjen LE, Xing G, Johnson WO. Factors associated with reasons incontinent midlife women report for not seeking urinary incontinence treatment over 9 years across the menopausal transition. Menopause. 2018;25(1):29-37.

Deffieux X, Thubert T, Demoulin G. Incontinencia urinaria de la mujer. EMC Ginecol. 2016:52(1):1-16.

Cagnacci A, Palma F, Carbone MM. Association between urinary incontinence and climacteric symptoms in postmenopausal women. Menopause. 2017;24(1):77-84.

Mitchell ES, Woods NF. Correlates of urinary incontinence during the menopausal transition and early postmenopause: observations from the seattle midlife women’s health study. Climacteric. 2013;16(6):653-62.

Avery K, Donovan J, Peters TJ. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30.

Güvenç G, Kocaöz S, Kök G. Quality of life in climacteric Turkish women with urinary incontinence. Int J Nurs Pract. 2016;22(6):649-59.

Çayan S, Yaman Ö, Orhan İ. Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. Eur J Obstet Gynecol Reprod Biol. 2016;203:303-8.

Thüroff JW, Abrams P, Andersson KE. EAU guidelines on urinary incontinence. Eur Urol.2011;59(3):387-400.

Klovning A, Avery K, Sandvik H. Comparison of two questionnaires for assessing the severity of urinary incontinence: the iciq-ui sf versus the incontinence severity index. Neurourol Urodyn. 2009;28(5):411-5.

López PFR, Alonso FAM, Roncero PG, Chedraui P, Castro MÁ, Llaneza P. Assessment of menopause-related symptoms in mid-aged women with the 10-item Cervantes Scale. Maturitas. 2013;76(2):151-4.

World Health Organization. Physical status: the use and interpretation of anthropometry. 1995. Technical Report Series no: 854. Geneva: WHO.

Lean ME, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. Br Med J. 1995;311:158-61.

Harlow SD, Gass M, Hall JE, et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab. 2012;97(4):1159-68.

Unidas N, Cepal, Ops, Unfpa. Situación de las personas afrodescendientes en América Latina y desafíos de políticas para la garantía de sus derechos. Publicación de las Naciones Unidas. 2017. Impreso en Naciones Unidas, Santiago. Available at: https://www.cepal.org/es/publicaciones/42654-situacion-personas-afrodescendientes-america-latina-desafios-politicas-la Accessed 24 December 2018.

Fernanda Mercado-Lara M, Monterrosa-Castro A, Carolina Duran-Mendez L. Assessment of quality of life of climacteric women using the Cervantes scale. Influence of ethnicity. Revista Peruana De Ginecologia Y. Obstetricia. 2018 Jan 1;64(1):13-25.

Monterrosa-Castro Á, Márquez-Vega J, Arteta-Acosta C. Sexual dysfunction in climacteric women of African descent from the Colombian Caribbean region. Iatreia. 2014;27(1):31-41.

Monterrosa-Castro Á, Durán-Méndez LC, Salguedo-Madrid M. Menopausal manifestations and quality of life in afro-Colombians valuation whit Cervantes scale. Iatreia. 2017;30(4):376-90.

Rebassa M, Taltavull JM, Gutiérrez C. Urinary Incontinence in Mallorcan Women: prevalence and quality of life. actas urológicas españolas (English Edition). 2013;37(6):354-61.

Kogan MI, Zachoval R, Ozyurt C. Epidemiology and impact of urinary incontinence, overactive bladder, and other lower urinary tract symptoms: results of the EPIC survey in Russia, Czech Republic, and Turkey. Curr Med Res Opin. 2014;30(10):2119-30.

Shlain I, Lavy Y, Arbel R. Urinary incontinence type, symptoms, and quality of life: a comparison between grand multipara and non-grand multipara women aged ≥50 years. Jpn J Nurs Sci. 2018;15(4):309-17.

Cardenas-Trowers OO, Borgstrom M, Addis I. Associations between type and route of hormone use on urinary incontinence and pelvic organ prolapse in premenopausal and postmenopausal women. Female Pelvic Med Reconstr Surg. 2018;24(2):100-4.

Leroy LS, Lopes MHBM, Shimo AKK. Urinary incontinence in women and racial aspects: a literature review text context nursing, Florianópolis. 2012;21(3):692-701.

Monterrosa-Castro ÁD, Paternina-Caicedo Á, Márquez-Vega J, Romero-Pérez I. Prevalence of urogenital symptoms among Colombian indigenous postmenopausal women. Iatreia. 2012 Dec; 25 (4): 357-68.

Arteta-Acosta C, Márquez-Vega J, Monterrosa-Castro Á. Severe bladder problems: main menopausal symptoms among zenues colombian indigenous women. Revista Salud Uninorte. 2012 Dec;28(2):283-97.

Juliato CR, Baccaro LF, Pedro AO. Factors associated with urinary incontinence in middle-aged women: a population-based household survey. Int Urogynecol J. 2017;28(3):423-9.

Monterrosa-Castro A, Márquez-Vega J, Arteta-Acosta C. Quality of life and sexual dysfunction in climacteric women from a Colombian Caribbean region. Revcienc Biomed. 2014;5(1):55-65.

Townsend MK, Lajous M, Campos RH. Risk factors for urinary incontinence among postmenopausal Mexican women. Int Urogynecol J. 2017;28(5):769-76.

Sohn K, Lee CK, Shin J, Lee J. Association between female urinary incontinence and geriatric health problems: results from Korean longitudinal study of ageing (2006). Korean J Fam Med. 2018;39(1):10-4.

Portman DJ, Gass ML. Vulvovaginal atrophy terminology consensus conference panel (2014). genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International society for the study of women's sexual health and the North American menopause society. Menopause. 2014;21(10):1063-8.

Moral E, Delgado JL, Carmona F. Genitourinary syndrome of menopause prevalence and quality of life in Spanish postmenopausal women. The GENISSE study. Climacteric. 2018;21(2):167-73.






Original Research Articles